腹腔镜胆囊切除术的应用解剖  

Applied anatomy of laparoscope chloecystectomy

作　　者：黄文燕[1] 许孟杰[1] 罗秀梅[1] 李沃棠[1] 

机构地区：[1]广州医学院解剖学教研室

出　　处：《中国临床解剖学杂志》1995年第3期205-206,共2页Chinese Journal of Clinical Anatomy

摘　　要：在３０例成人肝外胆道标本上解剖观察了胆囊管与邻近的结构，胆囊淋巴结，胆囊动脉的起源、行程以及与肝脏的关系。提出在腹腔镜胆囊切除术中胆囊淋巴结可作为寻找胆囊管的标志，结扎胆囊管的位置宜选择在离胆囊颈左侧６ｍｍ以外处，而结扎胆囊动脉的部位应在胆囊体浆膜下，距胆囊颈６．３ｍｍ范围内。在处理阻囊窝时应注意胆囊动脉的肝支和胆囊下肝管的存在。The cystic duct,the cystic lymph nodes,and the origin,course and relationship with liver ofcystic artery were observed on 30 specimens of biliary dtict of adult cadavers。 Results show thatduring laparoscope chloecysectomy,cystic lymph nodes could be used as a mark to find cysticduct,and the ligation point of cystic duct is better selected at the position 6 mm to the neck ofgallbladder. The ligation of cystic artery is better performed within the subserous layer of gall-bladder body and 6.3 mm to the neck,Special attention should be paid for the possible existenceof heptic branches of cystic artery and stibvesical hepatic duct in the gallbladder fossa region dur-ing operation·

关 键 词：腹腔镜 胆囊切除术 胆囊管 胆囊动脉 

分 类 号：R657.405[医药卫生—外科学]